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British Journal of Anaesthesia, 1991, Vol. 66, No. 3 285-291
© 1991 The Board of Management and Trustees of the British Journal of Anaesthesia


research-article

CONTINUOUS AMBULATORY ECG MONITORING IN THE PERIOPERATIVE PERIOD: RELATIONSHIP OF PREOPERATIVE STATUS AND OUTCOME

P. MCHUGH, M.B., CH.B., F.C.ANAES.*, N. P. GILL, B.SC., M.B., CH.B., D.A., F.C.ANAES., R. WYLD, S.R.N., W. S. NIMMO, B.SC., M.D., F.R.C.P., F.C.ANAES.{dagger} and C. S. REILLY, M.D., F.C.ANAES.

Department of Anaesthesia, University of Sheffield Beech Hill Road, Sheffield S10 2RX
*Department of Anaesthesia, Royal Liverpool Hospital Prescot Street, Liverpool L7 8XP
{dagger}Inveresk Clinical Research, Research Park Riccarton, Edinburgh EH14 4AD

We have used continuous ambulatory electrocardiographs in the perioperative period to monitor 108 patients with known cardiovascular disease undergoing non-cardiac surgery. There was a high incidence of ischaemic ST segment changes and ventricular arrhythmias. For the group as a whole, anaesthesia and surgery were followed by increased ventricular ectopic activity, but did not worsen myocardial ischaemia. However, the mean duration of ischaemic ST segment changes was increased significantly in those patients with treated hypertension. Of the risk factors considered, preoperative ischaemia and peroperative systolic arterial pressure were significant correlates with postoperative myocardial ischaemia.


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